Suzy Kim, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Brea, California. Her current practice location is
2767 E Imperial Hwy, Brea, California. You can reach out to her office (for appointments etc.) via phone at
(714) 578-8706.
Suzy Kim is licensed to practice in California (license number A86559) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508820531.
Physician's Profile
| Full Name | Suzy Kim |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2767 E Imperial Hwy, Brea, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508820531
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042298424
- Enrollment ID: I20040712001004
Medical Identifiers
Medical identifiers for Suzy Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508820531 | NPI | - | NPPES |
| 00A865590 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P0004X | Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine | A86559 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A86559 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Suzy Kim allows following entities to bill medicare on her behalf.
| Entity Name | Suzy Kim, Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285913012
PECOS PAC ID: 5395906853
Enrollment ID: O20120411000216 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suzy Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Suzy Kim, MD
5 Journey, Ste 210,
Aliso Viejo, CA 92656-5332
Ph: (949) 305-7122 | Suzy Kim, MD
2767 E Imperial Hwy,
Brea, CA 92821-6713
Ph: (714) 578-8706 |
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